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Obstetrics & Gynecology 1988;71:648-652
© 1988 by The American College of Obstetricians and Gynecologists
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A SUBURETHRAL SLING PROCEDURE WITH POLYTETRAFLUOROETHYLENE FOR THE TREATMENT OF GENUINE STRESS INCONTINENCE IN PATIENTS WITH LOW URETHRAL CLOSURE PRESSURE

Nicolette S. Horbach, MD, Jody S. Blanco, MD, Donald R. Ostergard, MD, Alfred E. Bent, MD and Jeffrey L. CornelIa, MD

From the Division of Gynecologic Urology, Department of Obstetrics and Gynecology, University of California, Irvine, and Women's Hospital, Memorial Medical Center, Long Beach, California

One indication for suburethral sling procedures has been recurrent genuine stress incontinence after previous incontinence surgery. Patients with low urethral closure pressures (20 cm H2O or less) in association with genuine stress incontinence are at particular risk for failure of standard anti-incontinence procedures. Urodynamic evaluation was used to select 17 patients with genuine stress incontinence and low urethral closure pressures for surgical treatment with a sling procedure using polytetrafluoroethylene. The technique of the procedure, cure rate, and postoperative complications were assessed. An 85% subjective and objective cure rate was found on urodynamic testing three months postoperatively. Complications included wound seroma, urinary tract infection, and urinary retention.




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J. Persson, C. Iosif, and P. Wolner-Hanssen
Risk Factors for Rejection of Synthetic Suburethral Slings for Stress Urinary Incontinence: A Case-Control Study
Obstet. Gynecol., April 1, 2002; 99(4): 629 - 634.
[Abstract] [Full Text] [PDF]


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